Active NPI
Raul Reyes, PSY
- Counseling Psychologist
- Bayamon, PR
National Provider Identifier
1750436093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 2789
- Practice address
- 205 Calle Guanahani
Bayamon, PR 00957-3763 - Phone
- (787) 404-9886
- Fax
- (787) 404-9886
- NPI assigned
- Jan 25, 2007
- Last updated
- Apr 27, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 2789 | PR | Primary |
Addresses
Primary practice location
205 Calle Guanahani
Bayamon, PR 00957-3763
Mailing address
205 Calle Guanahani
Urb. Colinas de Bayoan
Bayamon, PR 00957-3763
Phone (787) 404-9886
Other names 1
- Dr. Raul Reyes
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120717000381 | PR | Practitioner - Psychologist Billing Independently | 0840456026 | Practice locations: Bayamon, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430092800000",
"number": "1750436093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 CALLE GUANAHANI",
"address_2": "URB. COLINAS DE BAYOAN",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009573763",
"telephone_number": "787-404-9886",
"fax_number": "787-404-9886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 CALLE GUANAHANI",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009573763",
"telephone_number": "787-404-9886",
"fax_number": "787-404-9886"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYES",
"first_name": "RAUL",
"name_prefix": "Dr.",
"credential": "PSY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-25",
"last_updated": "2015-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "PR",
"license": "2789",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RAUL",
"last_name": "REYES",
"prefix": "DR.",
"credential": "PSY",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Bayamon, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.